Individual
DR. ALBERT FRANCIS LEWICKI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
499 NW PRIMA VISTA BLVD, SUITE 107, PORT SAINT LUCIE, FL 34983-8786
(772) 336-1500
Mailing address
499 NW PRIMA VISTA BLVD, SUITE 107, PORT SAINT LUCIE, FL 34983-8786
(772) 336-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1855956
MA
1223G0001X
General Practice Dentistry
Primary
DN21541
FL
Other
Enumeration date
06/27/2012
Last updated
09/03/2015
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